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General NPI Number Information
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NPI Number | 1235059817
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Entity Type | Individual
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Provider Name | DANIELLE OLIVAREZ
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Gender | Female
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 1355 E FLORENCE BLVD
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City | CASA GRANDE
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State | AZ
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Zip | 85122-5358
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Country | US
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Telephone | 602-684-6622
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Fax |
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Provider Business Mailing Address
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Address Line | 11074 W DENIER DR
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City | MARANA
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State | AZ
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Zip | 85653-8272
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Country | US
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Telephone | 310-497-6349
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | AZ
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